Chronic pain has burdened its victims with major difficulties that often span beyond the physical discomfort to psychological, social, and economic well-being (1). The prevalence of non-cancerous chronic pain in Europeans ranges from 8%-60% across many studies involving different methods and populations. Nearly 1 in 4 adults in Europe report experiencing chronic pain which affects their daily lives (1) and 30% of Americans report chronic pain (2). In particular, 1% of all individuals in the developed world experience rheumatoid arthritis and these rates are growing with an increasingly older and less healthy population (3). While many studies have focused on the medical aspects of chronic pain, it is a crucial responsibility of medical …show more content…
Although anxiety and depression are common among chronic pain patients seeking medical care, they are often hard to detect (4).
In order to ensure the most comprehensive patient care and satisfaction, it is critical to investigate physician and patient interactions during a medical consultation (4–6). Recent research suggests outcomes are related to communication (7,8). Physicians need to be aware not to discourage patients from sharing sensitive information while still conducting the medical aspects of the consultation. Typically, the medical aspects dominate the consultation so it is not surprising that patients wishing to talk about particular worries or concerns give somewhat indirect or underlying cues or “clues” which are hard to detect (4). Some studies show that patient satisfaction is not affected by physician reaction to cues and concerns (9), while others have found the opposite--that indeed responsiveness is related to patient satisfaction (10). If we can better understand patient communication-- whether explicit or implied, --we will have a greater ability to understand how physicians can best communicate in consultation to guide the patient to disclose concerns (11).
Although it is understood that a physician’s ability to communicate has a great effect on the patient, the training in this area is still deficient (5,12). Medical students are more likely to give
Communication in the healthcare field may be a little different for some people. Healthcare requires the communication to have a purpose, and that purpose is revolved around a person’s needs. A patient with good staff communication during
Investigating problems on both the doctors and patients side during the interaction at any medical appointment is key when interpreting statistics that relate to this matter. These aspects will be further explored later in this paper. The general consensus from many articles and studies indicate that miscommunication is a massive problem that impacts many individuals who die each year from miscommunication. Furthermore, each article shows a different perspective on where this error comes from and where, both doctor and patient, go wrong and what they can both do to improve the communication between them. Another aspect that must also be incorporated into this argument is that communication is not all verbal and that non-verbal communication can be just as effective or ineffective when it comes to dealing with other medical personnel or patients. The 7% rule coined by Albert Mehrabian in his book “Silent Messages” states that “93% of communication is non-verbal, with 55% being body language and 38% being tone of voice; leaving only 7% of communication being verbal.” (“Silent Messages” Albert Mehrabian), and that ineffective or bad non-verbal communication can be just as detrimental during an interaction as verbal communication. Unfortunately, for doctors, the precision of the execution in this small 7% of communication is crucial when explaining challenging
M., Gozzi, E. K., & Francis, V. (1968). Gaps in doctor-patient communication. Pediatrics, 42(5), 855-871.
In recent times, in the field of health communication, a shift in beliefs has become apparent. Many feel that the physician-centered approach is no longer the best way to manage the interaction between patients and doctors. A new collaborative approach has been adopted by many. This collaborative approach is more of a partnership between the patient and doctor. More communicating by the patient, and more listening by the doctor. When the doctor and patient speak to one another, they speak to each other as peers sharing ideas,
Pain is the most common chief complaint among patients with a variety of diseases, and it
Communication plays a vital role in the healthcare setting, as the relationship with the healthcare professional sets the tone of the care experience and has a powerful impact on patient satisfaction. It is “the shared process in which messages are sent and received between two or more people which are made up of a sender, receiver, and message in a particular context” (cite, date). This essay highlights the importance of, and some common barriers to, effective communication in the healthcare setting. It involves many interpersonal skills such as effective observation, questioning and listening, giving feedback, recognizing and removing barriers.
The etiology of chronic pain is complex and may be due to a number of different factors. Current therapeutics often fail to produce adequate analgesia for moderate-to-severe pain
“Extensive research has shown that no matter how knowledgeable a clinician might be, if he or she is not able to open good communication with the patient, he or she may be of no help” (Asnani, MR. 2009). Effective communication plays a big role in healthcare and contributes to the quality of patient care and teamwork.
Chronic Pain is an interesting problem in society today. The exact cause of Chronic Pain is not the same in every patient. In fact most patients present with different symptoms and associated pathologies, such as the strong link with depression. Treatment of Chronic Pain is often performed a single practitioner whether that be a Medical Doctor, Chiropractor, Nutritionist, or an alternative health care professional. Chronic Pain is often extremely complex, because of this treatment needs to be multidimensional. Effective care of Chronic Pain requires the collective cooperation of health care professionals
Due to the cross-sectional study design, interpretations on causal associations between studied variables and different pain categories cannot be confirmed. However, the large sample size of this study provides adequate statistical power to derive concrete interpretations. Another limitation is the use of postal questionnaires and the self-reported measurement of pain as well as the use of other examined variables. Obviously, these methods are generally less precise than a doctor’s diagnosis and clinical evaluation of comorbidities and medications.11 Nonetheless, in the literature there are several studies that have used analogous approaches to evaluate the prevalence of pain. 6 7 22 24 26 37 40 In addition, we did not examine the role of cognitive
Chronic pain is one of the most frequent diagnosis and the most common problem for which elderly patients in the clinical setting seek help. Chronic pain refers to an unpleasant, distressful and uncomfortable feeling. Studies have shown that chronic pain is often undertreated even when the prevalence rates and syndromes are well understood. The means of relief are within practitioners’ capabilities to provide care. With careful assessment and a comprehensive plan of care that addresses the various aspects of the patients needs; chronic pain can be controlled in the vast majority of cases.
The International Association for the Study of Pain defines pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (1979). Pain is actually the culprit behind warranting a visit to a physician office for many people (Besson, 1999). Notoriously unpleasant, pain could also pose a threat as both a psychological and economic burden (Phillips, 2006). Sometimes pain does happen without any damage of tissue or any likely diseased state. The reasons for such pain are poorly understood and the term used to describe such type of pain is “psychogenic pain”. Also, the loss of productivity and daily activity due to pain is also significant. Pain engulfs a trillion dollars of GDP for lost work time and disability payments (Melnikova, 2010). Untreated pain not only impacts a person suffering from pain but also impacts their whole family. A person’s quality of life is negatively impacted by pain and it diminishes their ability to concentrate, work, exercise, socialize, perform daily routines, and sleep. All of these negative impacts ultimately lead to much more severe behavioral effects such as depression, aggression, mood alterations, isolation, and loss of self-esteem, which pose a great threat to human society.
This paper is going to talk about how to deal with chronic pain. First of all, this paper will explain what chronic pain means by providing the foremost chronic pain encountered in life such as low back, joints, or other kinds. Next, this paper will cover why it is important to address conditions related to chronic pain, and will explore methods and strategies showing how to cope with continuing pain. Finally, this paper will share some predictable outcomes and a conclusion.
In this example, there are various barriers which prevented the doctor from communicating effectively with the patient. According to Stella Ting-Toomey, there are there main barriers to effective communication; cognitive constraint, behavior and emotional constraint (as cited in University of Colorado, 2005). However, in this case study, there is only behavior
2011. MCGREEVY K. Preventing chronic pain following acute pain - risk factors, preventive strategies and their efficacy – OIRD